Eat Like a Marylander Participation Form
Sign in to Google to save your progress. Learn more
Your Name *
Your Email *
Your Phone *
Best Way to Contact You  *
Name of Farm or Farmers Market  *
Address *
What county are you in? *
What products will be in your box? Please list anything you are anticipating. *
Do you need help finding a protein or seafood source? *
What will be the cost of your box? *
When do you anticipate you will start taking orders for the boxes? *
MM
/
DD
/
YYYY
How many boxes do you anticipate selling this year? *
Will you have a charitable aspect during the holidays that we can also pitch to the media? It could be a certain amount of food you donate to a food bank during the holidays, a number of boxes you are willing to donate to families in need, etc. Please be descriptive as this will help us sell the story to news outlets! *
If you already work with a non-profit or food bank, please list them below. 
How do you currently market your boxes? Select all that apply. *
Required
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of State of Maryland. Report Abuse